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Insomnia


Woman lying awake in bed at night, appearing thoughtful or restless.

Understanding Insomnia: Why Sleep Matters

A good night’s sleep is more than just a luxury—it’s essential for overall health and recovery. Whether you’re fighting off Candida overgrowth or simply trying to function at your best, quality sleep plays a crucial role. Yet, for many, restful nights remain out of reach. Research suggests that chronic insomnia affects nearly a third of adults, making it a widespread issue that deserves serious attention.

How Common Are Sleep Problems?

Sleep disturbances are more common than you might think. Studies indicate that around 30% of people struggle with chronic insomnia (Roth 2007). Occasional sleep troubles are normal, often triggered by stress, work pressures, or personal challenges. However, when insomnia becomes persistent, the consequences can be far-reaching, impacting both physical and mental well-being.

Those suffering from ongoing sleep disruptions often find their daily lives affected in significant ways. Poor sleep can impair cognitive function, reduce physical performance, and lead to difficulties in work, relationships, and overall quality of life. Chronic insomnia is also linked to higher rates of accidents, decreased job productivity, and increased reliance on healthcare services.

Understanding the root causes of insomnia and addressing them early is key to preventing long-term health complications. In this post, we’ll explore what drives insomnia, how it affects the body, and natural strategies to restore healthy sleep patterns.

What Causes Insomnia

Older age, being a woman, and having other physical or mental health problems at the same time are all things that can make you more likely to have chronic insomnia. Increasing age and diabetes were significantly associated with insomnia. Twenty-seven percent of patients with insomnia did not recognise they had insomnia. (Bhaskar 2016)

  • Stress: Worries about work, school, health, finances, or family can keep your mind active at night, making it difficult to sleep.
  • Anxiety and Depression: Mental health disorders like anxiety and depression often cause sleep disturbances.
  • Poor Sleep Habits: Irregular sleep schedules, naps during the day, stimulating activities before bed, and an uncomfortable sleep environment can all contribute to insomnia.
  • Medications: Certain prescription drugs and over-the-counter medications can interfere with sleep.
  • Medical Conditions: Chronic pain, asthma, diabetes, heart disease, GERD, and other conditions can make it hard to sleep.
  • Caffeine, Nicotine, and Alcohol: These substances can disrupt sleep patterns, especially if consumed close to bedtime.
  • Eating Too Much Late in the Evening: Having a large meal right before bed can cause discomfort and indigestion, which can interfere with sleep.
  • Change in Schedule: Travel, shift work, and other changes to your daily routine can disrupt your body’s internal clock.
  • Poor Mental Health: Conditions like PTSD often lead to recurring insomnia.
  • Lifestyle Factors: Lack of physical activity and engagement in stimulating activities before bedtime can contribute to sleep difficulties.

About 40% of adults who have insomnia also have a mood disorder that can be diagnosed, often depression (Roth 2019). Having additional mood issues like anxiety or worry, along with sleep problems can be both a cause and an effect of sleep problems.

Recognising Insomnia Symptoms

Insomnia can manifest in different ways, affecting both nighttime rest and daytime function. Some struggle to fall asleep, while others wake up frequently or too early and find it difficult to drift back off. As a result, sleep feels fragmented and unrefreshed, leaving many feeling exhausted despite spending hours in bed.

The impact of poor sleep doesn’t stop when the night ends. Some people experience mild tiredness, while others battle severe fatigue that affects their mood, focus, and overall well-being. Irritability, anxiety, and even depression are common.

Many find it harder to concentrate, recall information, or stay productive. Over time, chronic sleep deprivation increases the risk of mistakes, accidents, and a decline in overall health.

The severity of these symptoms varies from person to person, influenced by factors such as stress, lifestyle, age, and underlying health conditions. For some, insomnia is an occasional nuisance; for others, it’s a persistent issue that disrupts daily life. Recognising the signs early is the first step toward improving sleep quality and restoring well-being. Let’s look at the most common symptoms of insomnia:

Common Symptoms of Insomnia

While insomnia symptoms can differ in intensity and presentation, they often include:

  • Difficulty falling asleep
  • Waking up frequently during the night
  • Trouble getting back to sleep after waking
  • Waking up too early and being unable to fall asleep again
  • Feeling unrefreshed or tired after sleep
  • Daytime fatigue or excessive sleepiness
  • Irritability, anxiety, or depression
  • Difficulty concentrating or remembering things
  • Increased mistakes or accidents
  • Persistent worry about sleep

Understanding these symptoms can help identify insomnia and take steps to manage it effectively. In the next section, we’ll explore the underlying causes of insomnia and natural strategies to improve sleep.

A woman resting on a sofa with a pained expression while holding her head and a cup.

How Sleep Influences Immune Health and Candida Overgrowth

We often underestimate the power of sleep, yet research shows it plays a crucial role in regulating immune function. Our circadian rhythm—the body’s internal clock—helps synchronize immune responses, influencing how effectively we fight infections, including gut microbial imbalances like Candida overgrowth.

A well-functioning immune system depends on deep, restorative sleep. When sleep is disrupted, even for a short period, the body’s natural defences weaken. Studies have shown that sleep deprivation reduces the production of immune cells and impairs the body’s ability to respond to infections (Irwin et al., 1996).

If insomnia becomes a chronic issue, immune function declines further, increasing vulnerability to long-term health conditions (Kaur et al., 2023).

The Sleep-Immune Connection: How It Affects Gut Health

Our immune system operates in distinct phases, alternating between active defense during the day and restorative repair at night. Natural Killer (NK) cells—powerful immune warriors—peak during wakeful hours, allowing rapid response to pathogens and tissue damage. Meanwhile, slower-acting white blood cells peak at night, initiating the body’s adaptive immune response and supporting tissue healing.

This balance is vital for gut health. Our gut microbiome, home to trillions of bacteria, fungi, and other microbes, relies on a well-regulated immune system to maintain harmony. Chronic sleep deprivation disrupts this balance, increasing gut permeability, promoting inflammation, and allowing opportunistic pathogens like Candida albicans to thrive.

Research has found that prolonged insomnia and associated stress response lead to persistent production of pro-inflammatory cytokines. (Cytokines are a type of protein that is made by immune cells and have an effect on the immune system). This results in chronic low-grade inflammation, which not only weakens immunity but also encourages the overgrowth of Candida albicans (Besedovsky 2012).

The Consequences of Poor Sleep on Infections and Recovery

Lack of sleep makes the body more susceptible to infections—viral, bacterial, and fungal alike (Ibarra-Coronado 2015).  When our body is sleep-deprived, the immune system struggles to mount a strong defence, leaving individuals more prone to colds, flu, gut dysbiosis, and even recurrent Candida infections. Furthermore, insufficient sleep significantly slows recovery from acute and chronic illnesses (Garbarino 2021).

For those struggling with Candida overgrowth, insomnia can be both a cause and a consequence of the condition. Disrupted sleep increases cortisol levels, which in turn weakens gut barrier function and fuels the inflammatory cycle that Candida thrives in. Breaking this cycle requires a holistic approach—supporting sleep quality, balancing the gut microbiome, and strengthening immune resilience.

Why Prioritising Sleep Is Essential for Gut and Immune Health

If you want to build a stronger immune system and maintain a balanced gut, prioritising sleep is non-negotiable. Here’s what you need to remember:

  • Poor sleep weakens immunity, making you more susceptible to infections, including Candida overgrowth.
  • Chronic insomnia fuels inflammation, which disrupts gut health and encourages harmful microbes to flourish.
  • Your immune system operates in phases, with daytime activity focusing on rapid defense and nighttime sleep allowing for deep tissue repair.
  • Prolonged sleep deprivation reduces immune cell production, leading to slower recovery from infections.
  • Balancing stress and sleep supports gut health, preventing Candida from taking hold and improving overall resilience.

By improving sleep hygiene, managing stress, and supporting gut health through a nutrient-rich diet, you can break the cycle of insomnia and immune dysfunction. In upcoming posts, we’ll explore natural strategies to enhance sleep quality and strengthen gut immunity.

Brief Explanation Of Our Sleep Cycles

Understanding Our Sleep Cycles

Sleep is essential for overall health, but its quality and duration can be affected by factors like aging, depression, medications, alcohol, and circadian rhythm disorders (Patel 2022).

Sleep is divided into two main phases:

  • N-REM (Non-Rapid Eye Movement) Sleep – 75% of total sleep
  • REM (Rapid Eye Movement) Sleep – 25% of total sleep

Let’s now take a brief look at each of these two phases:

REM Sleep: The Dreaming Phase

REM sleep is when dreaming occurs, and the brain is highly active—its metabolism can increase by 20% during this stage (Peever 2017). However, REM is not the most restorative phase of sleep. Breathing can become irregular, muscles may twitch, and rapid eye movement occurs.

  • The first REM stage happens about 90 minutes after falling asleep.
  • Each REM cycle gets longer throughout the night, with the final cycle lasting up to an hour.
  • Most people wake up in or near REM sleep, which is why dreams are often remembered in the morning.

N-REM Sleep: The Restorative Phase

NREM sleep is divided into three stages, each with distinct brain activity:

  • Light Sleep (N1) – 5-7% of total sleep
  • The transition from wakefulness to sleep.
  • Breathing slows, and brain waves shift from beta to alpha.
  • Deeper Sleep (N2) – 45-50% of total sleep
  • Delta waves become dominant.
  • Essential for memory consolidation and maintaining sleep.
  • Teeth grinding (bruxism) may occur in this stage.
  • Deepest Sleep (N3) – 25% of total sleep
  • The most restorative stage, crucial for tissue repair, muscle growth, and immune function.
  • As we age, we spend less time in N3, which may contribute to slower recovery and aging.
  • Some people may experience night terrors, sleepwalking, or bedwetting in this stage.

4-5 Sleep Cycles Per Night

Each night, the body cycles through these sleep stages about 4 to 5 times (sometimes up to 6), with each cycle lasting 90–100 minutes. As the night progresses, deep sleep phases shorten, while REM phases lengthen.

By understanding these cycles, you can optimise your sleep habits and improve overall health.

A woman, holding her stomach with a pained expression, speaks to a pharmacist in a pharmacy setting. Shelves with various medication boxes are visible in the background.

Poor Sleep Can Lead to Gut Problems

Chronic insomnia doesn’t just leave you feeling tired—it has far-reaching effects on overall health. Research shows that long-term sleep disruption increases the risk of high blood pressure, heart disease, weight gain, metabolic syndrome, and diabetes. But what many don’t realise is that poor sleep can also worsen digestive disorders (Medic et al., 2017).

Gut health and sleep are deeply interconnected. Many people with chronic gut issues, such as Candida overgrowth, IBS, or SIBO, experience disrupted sleep—especially during symptom flare-ups. In my clinical experience, I often saw patients caught in this cycle: poor gut health led to insomnia, and persistent sleep deprivation further aggravated their digestive problems. When this pattern continues for weeks, months, or even years, it needs to be addressed.

Today, there is growing evidence that the gut microbiome plays a crucial role in regulating not just digestion and immunity but also sleep quality, mental well-being, and emotional balance through the microbiome-gut-brain axis (Li et al., 2018). A disrupted gut microbiome can contribute to insomnia, just as chronic sleep deprivation can lead to microbial imbalances—creating a vicious cycle that affects both physical and mental health.

Key Take-Away: The Sleep-Gut Connection

  • Chronic sleep deprivation increases the risk of gut disorders like IBS, SIBO, and Candida overgrowth.
  • Gut imbalances can disrupt sleep by increasing inflammation and altering neurotransmitter production.
  • Our microbiome-gut-brain axis influences sleep quality, mental health, and overall well-being.
  • Poor sleep weakens immunity, making it harder for the body to fight gut infections.
  • Addressing both sleep and gut health is essential for breaking the cycle of insomnia and digestive dysfunction.

By improving sleep hygiene, reducing stress, and supporting gut health with the right diet and lifestyle choices, we can restore balance and improve both digestion and sleep quality.

Stressful Lives Can Lead To Insomnia

In my years of clinical practice, I noticed a recurring pattern: the more exhausted patients became, the less they could handle stress. The more overwhelming life felt, the harder it became for them to fall asleep. Many found themselves trapped in a “no-win, no-rest cycle,” struggling with the relentless demands of modern 21st-century lifestyles.

Another major issue? Chronic stress leads to poor decision-making, especially regarding diet and lifestyle choices. Some busy people don’t realise that constantly being on the go, juggling responsibilities, and pushing through exhaustion are the very things preventing them from getting a good night’s sleep.

How Stress Disrupts Sleep Quality

Research confirms that stress significantly affects sleep patterns. It reduces the time spent in the deepest, most restorative sleep stages and interferes with REM (rapid eye movement) sleep, the phase essential for cognitive and emotional processing. Studies show that chronic stress increases sleep latency (the time it takes to fall asleep), decreases sleep efficiency, reduces REM sleep, and leads to frequent nighttime awakenings (Kim 2014).

One study found that people with chronic insomnia often experienced major life stressors—such as financial worries, health concerns, job loss, relationship struggles, or the death of a loved one—when their sleep issues first began (Monk 2008).

In the clinic, I frequently heard patients mention the following reasons, I’ve placed them in separate categories.

Can you relate to any of these scenarios in your life?

🧠 Trauma & Psychological Stress

  • “Since my separation or divorce, I just can’t sleep well.”
  • “I haven’t slept properly since my husband passed away.”
  • “My sleep problems started when my son went to prison.”
  • “After losing my job and the house, I started waking up multiple times a night.”
  • “I started having nightmares and trouble sleeping after the assault.”
  • “After being diagnosed with PTSD, my sleep completely changed.”
  • “When my business collapsed, I couldn’t shut my mind off at night.”
  • “I got fired last month and have had issues sleeping since.”

🩺 Physical Illness & Medical Events

  • “After my cancer diagnosis, I started waking up at 3 a.m. every night.”
  • “I developed chronic insomnia after my surgery—it just never went away.”
  • “I’m taking medication for my high-blood pressure, but it’s keeping me up at night.”
  • “Once menopause hit, my sleep became totally unpredictable.”

🔄 Life Transitions & Caregiving

  • “I haven’t had a regular sleep pattern since having children.”
  • “Caring for my elderly parent around the clock has totally disrupted my sleep.”
  • “My sleep’s been a mess ever since I started working night shifts.”
  • “Ever since the home-invasion, the house fire, etc., I can’t sleep.”
  • “My anxiety skyrocketed during the pandemic, and I haven’t slept well since.”
  • “I started having trouble sleeping after we moved overseas.”

🌆 Environmental & Lifestyle Disruptions

  • “Ever since I moved to a noisy neighborhood, I’ve struggled to stay asleep.”
  • “The neighbor’s dog barks all night—I can’t get any rest.”
  • “Light from the street lamps keeps me awake—it’s like sleeping in daylight.”

These stories illustrate how stress, grief, and emotional turmoil can severely impact sleep. However, the good news is that sleep patterns can be changed—you don’t have to suffer from insomnia for life or rely on sleeping pills forever.

Improving Sleep Can Improve Mental Health

Recent research highlights a critical point: improving sleep has beneficial effects on mental health, regardless of the severity of psychological distress or the presence of other health conditions (Scott et al., 2021). Addressing insomnia can lead to better emotional regulation, reduced anxiety, and an overall improved sense of well-being.

Key Take Away: The Stress-Sleep Connection

  • Chronic stress disrupts sleep quality, leading to longer sleep latency, reduced REM sleep, and frequent awakenings.
  • Major life events often trigger insomnia, including financial stress, relationship issues, job loss, or grief.
  • Stress and exhaustion create a vicious cycle, where poor sleep makes it harder to cope with daily challenges.
  • Poor sleep affects decision-making, leading to unhealthy food choices and lifestyle habits that further disrupt rest.
  • Improving sleep supports mental and emotional health, reducing anxiety and enhancing resilience.

By recognising stress as a key driver of insomnia and taking steps to manage it—through relaxation techniques, better sleep hygiene, and lifestyle adjustments—you can break free from the stress-sleep cycle and reclaim restorative sleep.

How Much Sleep Do We Really Need?

Most adults need between six to eight hours of sleep each night for optimal health. However, sleep requirements vary depending on age and individual health. The younger a person is, the more sleep they require—young children need at least ten hours, while teenagers should aim for nine to ten hours per night.

Contrary to popular belief, there’s no universal rule that says everyone must get exactly eight hours of sleep each night. This idea is much like the “eight glasses of water a day” myth—it oversimplifies a complex and highly individual need.

As we age, sleep needs naturally decline. People over 60 often require less sleep—sometimes just six hours—though this depends on overall health. For example, older men with prostate issues or women experiencing menopausal symptoms may find their sleep interrupted. In general, an elderly person needs about 30% less sleep than a child.

Have you identified your personal sleep needs? If not, try experimenting with different sleep durations while maintaining a consistent routine. Incorporating regular walking, exercise, and relaxation techniques into your daily life can help you fall asleep faster, stay asleep longer, and wake up feeling refreshed—even if you go to bed later.

Insomnia Treatment: Developing Healthy Sleep Habits

One of the best ways to improve sleep is by sticking to a regular sleep schedule. Going to bed and waking up at the same time each day helps regulate your biological clock and reinforce your natural circadian rhythm. Over time, this leads to better sleep quality, improved energy levels, and overall well-being.

Disruptions like travel, stress, and irregular schedules can throw off sleep patterns, making it harder to fall and stay asleep. Prioritising sleep is just as important as good nutrition and emotional well-being—it is a foundational pillar of health. Developing consistent, healthy habits will not only improve long-term sleep quality but also support faster recovery from issues like Candida overgrowth.

Key Take-Away: Prioritising Sleep for Better Health

  • Sleep needs vary by age and health, but most adults require 6–8 hours per night.
  • Older adults generally need less sleep but should still aim for good quality rest.
  • Irregular sleep patterns disrupt the body’s circadian rhythm, making insomnia worse.
  • Poor sleep can slow recovery from gut health issues like Candida overgrowth.
  • A structured sleep routine improves overall health, energy levels, and well-being.

 Top Tips For Better Sleep

  • Keep your bedroom dark, and cool, and peaceful so that you can sleep.
  • Remove screens from your bedroom.
  • Exercising regularly, like walking daily.
  • Stick to a sleep schedule. Go to bed and wake up at the same time every day to create a regular sleep schedule. This will work so much better than a hit-and-miss approach.
  • Avoid engaging in stimulating activities or working hard right before bed.
  • Establish a calming night routine, having a consistent and relaxing bedtime routine lets your body know it’s time to unwind.
Middle-aged man with glasses, wearing a blue t-shirt, sitting in a room with bookshelves.

My 12 Proven Ways to Beat Insomnia

Do you rely on sleeping pills regularly? In most cases, medication isn’t necessary to improve sleep. There are plenty of natural alternatives. If you struggle to fall asleep or wake frequently during the night, you might find the insomnia tips in this article helpful.

It’s interesting how many people look for something to take to improve sleep when the real solution often lies in what to avoid. Instead of reaching for a remedy, the focus should be on the fundamentals—going to bed when you’re truly tired, cutting back on stimulants like caffeine and depressants like alcohol, and making movement a daily habit, even if it’s just a walk. When your body needs rest, it will let you know.

Overwork, excessive thinking, stress, anxiety, and insomnia all feed into each other, creating a vicious cycle. If you’re frequently fatigued, anxious, or overwhelmed, falling asleep will be even more difficult.

However, making small, mindful changes can have a significant impact. You’ll be surprised how much better you sleep—and how much healthier you feel—just by applying a few of the strategies discussed in this article.

Two people are jogging outdoors on a sunny day. The woman is wearing a white tank top and shorts, and the man is wearing a blue T-shirt and black shorts. They are smiling and appear to be enjoying the run.

1 – Exercise: A Natural Remedy for Insomnia and Stress

Regular exercise has been widely recognised as an effective way to relieve tension, reduce stress, and improve sleep. Research confirms that physical activity can serve as a drug-free treatment for insomnia. (Kline 2015). Engaging in just 20 minutes of walking, swimming, or cycling at least three times a week is enough to yield noticeable benefits.

Yet, many people claim they don’t have the time. If they truly understood how exercise enhances body, mind, and spirit, they’d make it a priority—just like those who have discovered its life-changing effects.

If work-related stress keeps you up at night, consider exercising later in the day, particularly in the afternoon. The key is to find a time that suits your schedule—morning, afternoon, or evening—so you can stay consistent. Regular exercise is one of the best long-term investments in your health. Try it for two weeks, and you’ll likely feel the difference.

Key Take-Away

  • Exercise is a natural, drug-free way to improve sleep and reduce stress.
  • Just 20 minutes of activity, three times a week, can make a significant difference.
  • Finding a routine that fits your schedule increases the likelihood of consistency.
  • A two-week commitment to regular exercise can yield noticeable benefits.
A woman sits on a couch with a laptop on her lap, eating fries. There are various fast food items and drinks on the table in front of her. A lit lamp and a computer screen are visible in the background.

2 – Avoid Eating Too Late or Going to Bed Hungry

Is it okay to eat right before bed? Many people eat late due to busy schedules, but eating too close to bedtime—or going to bed overly hungry—can interfere with sleep. Hunger before bed can lead to discomfort, making it harder to fall asleep. However, for those struggling with insomnia, sleeping on an empty stomach may be preferable to consuming a large meal late at night. A light protein- or fat-based snack, like cheese or a hard-boiled egg, can help stabilise blood sugar levels.

Eating too late has several downsides:

  • Digestive Issues – Large meals close to bedtime can cause indigestion, gas, or cramping, disrupting sleep.
  • Weight Gain – Studies show that consuming food within four hours of sleep can increase overall calorie intake, leading to higher BMI and body fat. (Baron 2013), (Reid 2014), (McHill 2017).
  • Blood Sugar Swings – People with blood sugar imbalances, adrenal fatigue, or hypothyroidism may wake up due to low blood sugar if they go to bed on an empty stomach.

That said, small, nutrient-dense snacks (around 150 calories) don’t appear harmful and may even support muscle protein synthesis and heart health. (Kinsey 2015)

The key is balance—neither excessive food intake nor extreme hunger is ideal before bed.

Key Take-Away

  • Avoid large meals close to bedtime to prevent indigestion and disrupted sleep.
  • Going to bed overly hungry may cause discomfort and blood sugar fluctuations.
  • A light protein- or fat-based snack can help stabilise blood sugar and promote sleep.
  • Nighttime snacking (in moderation) is unlikely to harm health and may offer benefits.
Four people enjoying coffee together, with their mugs meeting in the center.

3. Consider Reducing Caffeine Intake

Is coffee okay? The answer depends on the individual. Some tolerate it well, while others experience sleep disturbances. If you have sleep issues, reducing caffeine—especially in the afternoon and evening—may help. While moderate coffee or tea consumption (one to two cups daily) is generally fine, those with chronic insomnia may benefit from avoiding caffeine entirely.

Caffeine’s Impact on Sleep and Health

Caffeine can both enhance performance and contribute to sleep deprivation (O’Callaghan 2018). Its effects vary depending on individual tolerance and health conditions.

  • Gut Health & Digestion
  • Caffeine reduction may benefit those with Candida, SIBO, IBS, or IBD. However, coffee can also aid digestion, as studies show it stimulates bowel motility (Hedge 2022).
  • Immune Function
  • Caffeine weakens the immune system, making it harder to combat Candida overgrowth by suppressing white blood cell function (Horrigan 2006).
  • Blood Sugar Regulation
  • Caffeine can cause short-term blood sugar spikes, leading to cravings for unhealthy foods. However, long-term coffee consumption may improve blood sugar metabolism, particularly in diabetics (Reis 2019).
  • Circadian Rhythm Disruptions
  • Caffeine overstimulates the nervous system, raises adrenaline levels, and interferes with sleep cycles (Reichert 2011), (Soeren 1996).

Signs You Should Cut Back on Caffeine

  • You need more coffee daily to function.
  • You experience headaches after skipping caffeine for a day.
  • Your sleep is disrupted, and you struggle to wind down at night.

If you have recurring sleep problems, try eliminating caffeine at least eight hours before bedtime. Adjusting intake based on your body’s response can help maintain both sleep quality and overall health.

Key Take-Away

  • Moderate caffeine intake is usually fine, but excessive use may disrupt sleep and increase stress.
  • Caffeine can support digestion but may weaken immunity and contribute to blood sugar imbalances.
  • Sleep and circadian rhythm disturbances are common side effects of high caffeine consumption.
  • If caffeine dependence is affecting your health, cutting back gradually can help restore balance.
A woman lies on a bed with her eyes closed, resting her head on her crossed arms. She is wearing a patterned dress and appears relaxed. The bedding has a floral pattern.

4 – The Importance of a Quality Bed for Restful Sleep

An often overlooked factor in achieving restful sleep is the quality of your bed. An uncomfortable or unsupportive mattress can exacerbate insomnia and disrupt sleep patterns. Investing in a comfortable, well-maintained bed is crucial for promoting excellent sleep.

The quality of your sleep directly impacts your overall health, particularly your immune system. Chronic sleep disruptions can compromise immune function over time. Since 2013, I’ve replaced my bed twice, and this change has significantly improved my health. If you’re seeking to enhance your sleep quality, consider updating your bed.

Signs that it might be time for a new bed include waking up with a stiff neck or sore lower back, or if your bed sags or creaks. Given the substantial amount of time spent sleeping, enduring a subpar bed is unnecessary. Investing in a new, quality bed can markedly improve your health and quality of life.

A bed that’s too small, too hard, too soft, or simply worn out can hinder a good night’s sleep. Personal experience has shown that the quality of a bed significantly affects sleep. Frequent travel and stays in various hotels have highlighted the difference a good mattress and pillow can make.

Investing in a new, high-quality bed is a wise decision. Once you experience the comfort of a new bed, you’ll wonder why you didn’t make the change sooner. This investment can mean the difference between a restful night’s sleep and waking up feeling unrested. Instead of other expenditures, consider treating yourself to a top-quality new bed—you’ll be glad you did. Additionally, invest in supportive pillows and a comfortable mattress, and remember to replace pillows at least once or twice a year.

Key Take-Away

  • An uncomfortable or worn-out bed can worsen insomnia and disrupt sleep.
  • Quality sleep is essential for overall health and immune function.
  • Signs that it’s time to replace your bed include physical discomfort upon waking and noticeable wear and tear.
  • Investing in a high-quality bed and regularly updating bedding can significantly improve sleep quality and overall well-being.
A couple lies on a bed, with the man embracing the woman from behind. The woman is smiling and resting her head on a pillow.

5 – Sleeping with a Partner Enhances Sleep Quality

Contrary to the belief that sleeping alone ensures better rest, recent research indicates that sharing a bed with a partner or spouse can improve sleep quality and mental health. Individuals who co-sleep with a partner experience less severe insomnia, reduced fatigue, and increased sleep duration compared to those who sleep alone.

Moreover, co-sleeping is associated with lower levels of depression, anxiety, and stress, as well as greater life and relationship satisfaction. These benefits may stem from the sense of security and emotional support provided by a trusted partner during sleep (Fuentes 2022).

However, sharing a bed with a child can lead to increased stress, more severe insomnia, and poorer mental health. Parents who co-sleep with their children often report less control over their sleep and higher fatigue levels.

From an evolutionary perspective, sleeping in groups served as protection against predators, a behavior that may still influence our preference for co-sleeping with trusted individuals. The intimacy and trust developed over time with a partner can enhance sleep quality, as many individuals find it difficult to sleep well when their partner is absent.

Key Take-Away

  • Sharing a bed with a partner can improve sleep quality and mental health, while co-sleeping with children may have the opposite effect.
A person lying down holds several white pills in their hand.

6 – The Limitations and Risks of Sleeping Pills

In clinical practice, it’s evident that the effectiveness of sleeping pills diminishes over time, leading patients to increase dosages or switch medications. These drugs often serve as temporary solutions, addressing symptoms rather than underlying causes. Encouragingly, the use of sleeping pills has declined, with a study noting a 31% decrease between 2013 and 2018, possibly due to growing awareness of their potential drawbacks  (Levesque 2022).

Cognitive Behavioural Therapy for Insomnia (CBT-I)

Research indicates that CBT-I is as effective as benzodiazepines in treating insomnia and may offer more durable benefits (Mitchell et al., 2012).

CBT-I focuses on identifying and modifying thoughts and behaviours that contribute to sleep issues, providing a sustainable, non-pharmacological approach to improving sleep quality.

Potential Risks of Sleeping Pills

A study points to greater risks associated with long-term sleeping pill use than with risks of short-term use, and that there is much evidence that sleeping pills are often prescribed for patients who do not even complain of insomnia or short sleep. (Kripke 2013)  With the potential for addiction, abusing sleeping pills or becoming dependent on them can cause serious health problems.

Long-term use of sleeping pills can lead to several adverse effects:

  • Daytime Drowsiness and Cognitive Impairment:
  • Users may experience residual drowsiness, dizziness, and impaired alertness the following day, affecting daily activities. 
  • Dependence and Tolerance:
  • Regular use can result in physical dependence and tolerance, necessitating higher doses to achieve the same effect, which can complicate discontinuation efforts. 
  • Side Effects:
  • Common side effects include headaches, dizziness, nausea, and, in some cases, parasomnias such as sleepwalking. 
  • Increased Risk of Dementia:
  • Some studies suggest a higher risk of dementia associated with long-term use of certain sleeping pills (Neporent 2023). 
  • Masking Underlying Issues:
  • Reliance on sleeping pills may obscure underlying health problems or lifestyle factors contributing to insomnia, delaying appropriate treatment.
  • Withdrawal Symptoms:
  • Abrupt discontinuation can lead to withdrawal symptoms, including rebound insomnia and nervousness, making cessation challenging.

Key Take-Away

  • Consider Non-Pharmacological Treatments: Explore therapies like CBT-I, which have demonstrated long-term effectiveness in managing insomnia.
  • Be Aware of Potential Risks: Understand the possible side effects and long-term health implications associated with sleeping pill use.
  • Use Medications Cautiously: If prescribed, use sleeping pills for the shortest duration necessary and under close medical supervision.
  • Address Underlying Causes: Focus on identifying and managing the root causes of insomnia rather than solely treating symptoms.

By prioritising non-pharmacological interventions and being mindful of the risks associated with sleeping pills, individuals can achieve more sustainable and healthier sleep patterns.

A woman smiles at the camera while a bartender serves a drink in a glass garnished with lime.

7 – Alcohol and Sleep: How Drinking Affects Restful Sleep

Many people believe that alcohol helps them fall asleep faster and stay asleep longer, but the truth is quite the opposite. While it’s common to hear that a drink before bed can promote relaxation, those who consume alcohol regularly or in excess don’t sleep any better than those who drink in moderation or abstain altogether. In fact, alcohol often leads to worse sleep quality overall.

The popular belief in a “nightcap” as a sleep aid is misleading. Although alcohol may initially create a sense of relaxation and drowsiness, it actually disrupts the body’s natural sleep cycle.

This disturbance can make it harder to stay asleep through the night and prevents individuals from reaching the deeper, more restorative stages of sleep. As a result, even if someone manages to fall asleep after drinking, they may experience more frequent awakenings and less restful sleep.

The body’s sleep patterns are particularly affected by alcohol’s suppression of REM sleep, which is essential for emotional regulation and cognitive restoration. This interference with the sleep cycle can also lead to longer-term issues, such as an increased risk of developing sleep disorders, including sleep apnea and insomnia. Over time, relying on alcohol as a sleep aid can have a detrimental effect on overall sleep health and exacerbate existing sleep problems.

How Alcohol Disrupts Sleep

  • Alcohol Suppresses REM Sleep
  • One of the biggest issues with alcohol consumption before bed is its effect on REM sleep. REM (Rapid Eye Movement) sleep is critical for cognitive function, emotional regulation, and memory consolidation. Alcohol suppresses REM sleep, leading to grogginess, mood swings, and mental fog the next day. If you’ve ever woken up feeling exhausted after drinking the night before, this is likely why (Colrain 2014).
  • Early Morning Waking
  • Additionally, alcohol can cause early morning awakenings, leaving you feeling tired and unrefreshed. The more you drink, the greater the disruption to your natural sleep rhythm.
  • Increased Risk of Snoring and Sleep Apnea
  • Have you ever noticed that people tend to snore more after drinking? Alcohol relaxes the throat muscles, increasing the likelihood of snoring and even exacerbating sleep apnea. If you already suffer from breathing-related sleep issues, alcohol can make them significantly worse (Simou 2018).
  • Alcohol Causes Fragmented Sleep
  • While alcohol can help you fall asleep faster, it also makes your sleep more fragmented. You may wake up multiple times throughout the night, making it difficult to return to deep sleep. Even if you manage to sleep through the night, you may still wake up feeling exhausted (Stein 2005).
  • Alcohol is a Diuretic
  • Drinking alcohol before bed can lead to frequent trips to the bathroom during the night. Alcohol acts as a diuretic, meaning it increases urine production and can cause dehydration. This disrupts sleep and often results in an early-morning headache or dry mouth  (Polhuis 2017).
  • Alcohol Can Cause Night Sweats
  • Alcohol raises body temperature, which can lead to night sweats—a common complaint among those who drink before bed. For menopausal women, even moderate alcohol consumption has been linked to an increase in hot flashes and other vasomotor symptoms. (Kwon 2022).
  • Long-Term Effects on Sleep Disorders
  • For those already suffering from insomnia or sleep apnea, alcohol makes treatment more difficult. It worsens sleep problems and can make traditional treatments less effective. If you experience chronic sleep disturbances, cutting back on alcohol may be one of the most important steps you can take  (Brower 2001).

Key Take-Away

  • Alcohol disrupts sleep quality: While it may help you fall asleep, it leads to fragmented sleep and frequent awakenings.
  • Poor REM sleep: Alcohol reduces REM sleep, leading to grogginess, poor memory, and mood swings. (Colrain 2014)
  • Increased snoring and sleep apnea: Alcohol relaxes throat muscles, making breathing issues worse. (Simou 2018)
  • Frequent bathroom trips: Alcohol is a diuretic, causing dehydration and sleep disturbances. (Polhuis 2017)
  • Night sweats: Drinking before bed can increase body temperature and trigger night sweats, especially in menopausal women.
  • Harder to treat insomnia: Drinking regularly can worsen existing sleep disorders, making recovery more difficult.

A Sobering Thought..

If you drink most days, treating insomnia or sleep disorders will be much harder. Alcohol is one of the most underestimated causes of sleep disruption. If you struggle with poor sleep, reducing alcohol consumption—especially before bed—could make a world of difference in your sleep quality and overall well-being.

A man with a beard reclines on a green sofa, hands behind his head, with his eyes closed. In the background, a whiteboard with sticky notes is visible.

8 – Go For Quality Of Sleep, Not Sleep Quantity

For years, I advised patients to prioritize quality over quantity when it comes to sleep. I often explained that six hours of deep, uninterrupted sleep can be more restorative than eight or even ten hours of light, fragmented sleep. This advice aligns with a growing body of research indicating that quality sleep is just as important, if not more important, than the total hours spent asleep . (Worley 2018).

Many people tend to focus on the amount of sleep they get, but it’s crucial to understand that good sleep quality is what truly impacts overall health and well-being.

I’ve personally found that even a 20-minute nap in the afternoon—what I call my TPM (Twenty Peaceful Minutes) session—can be incredibly rejuvenating. For some, getting a few hours of good sleep, supplemented with a brief nap, works wonders. Ultimately, it’s about finding what works for you, as long as you prioritise sleep quality.

Why Quality Sleep Matters

  • Cognitive Performance
  • Sleep quality directly affects cognitive functions such as memory, attention, and problem-solving skills. Disrupted or fragmented sleep can have a detrimental effect on cognitive performance, regardless of the total sleep duration. Research shows that losing even a few hours of sleep can impair attention, language, decision-making, learning, and memory consolidation (Diekelmann 2014).
  • Mood and Emotional Well-Being
  • Sleep quality is closely linked to our emotional state. Poor-quality sleep is associated with elevated stress, irritability, and an increased likelihood of mood disorders. Studies have shown that improving sleep quality contributes to better mental health, regardless of the severity of existing conditions (Scott 2021).
  • Physical Health
  • Long-term poor sleep quality is a significant risk factor for developing immune system dysfunction, metabolic disorders, and cardiovascular issues. By prioritizing quality sleep, you can improve overall physical health and reduce the risk of these health problems (Colton 2006).
  • Daytime Functioning
  • Quality sleep leads to better daytime functioning. Alertness, focus, and response time all improve after a good night’s sleep. Conversely, inadequate sleep quality can lead to daytime tiredness and decreased performance. Research has shown that chronic sleep deprivation impairs attention, working memory, and decision-making. Even minor sleep deprivation can reduce vigilance and affect long-term memory . (Alhola 2007).
  • Contentment and Life Satisfaction
  • People who report higher-quality sleep tend to feel more content and satisfied with life. A positive sleep experience, such as waking up feeling rested and experiencing fewer sleep disturbances, is linked to a better overall quality of life. Research has shown that poor sleep quality is associated with a diminished quality of life, particularly for individuals struggling with anxiety or depression (Lee 2021).

Key Take-Away

While getting enough sleep is crucial, it’s important to focus on the quality of that sleep to reap its full benefits. By establishing a regular sleep schedule, optimising your sleep environment, and addressing underlying causes of sleep disruptions, you can greatly improve your sleep quality. Prioritise quality sleep, and both your physical and mental health will benefit significantly.

  • Prioritise quality, not just quantity: Six hours of deep, restorative sleep can be more beneficial than longer periods of disrupted sleep. (Worley 2018)
  • Cognitive benefits: Good sleep quality improves memory, attention, decision-making, and problem-solving skills. (Diekelmann 2014)
  • Mood stabilisation: Better sleep quality is associated with improved emotional well-being and a reduced risk of mood disorders. (Scott 2021)
  • Physical health benefits: High-quality sleep helps prevent immune dysfunction, metabolic disorders, and cardiovascular problems. (Colton 2006)
  • Improved daytime functioning: Quality sleep leads to better alertness and focus. Chronic poor sleep can impair cognitive function. (Alhola 2007)
  • Higher life satisfaction: Those who experience better sleep quality report higher contentment with life and reduced anxiety or depression. (Lee 2021)
A woman with braided hair is lying on a bed, resting her head on a pillow, and appears to be sleeping. She is dressed in a white short-sleeved shirt, and the bed has white sheets and a brick wall backdrop.

9 – The Benefits of Taking A Nap

Napping has long been a topic of interest for researchers, and its benefits go beyond just resting. Short naps, especially when taken in the afternoon, can be a powerful tool to boost mood, enhance energy levels, and improve cognitive function. One of the main reasons naps can be so helpful is that they allow the body and mind to recharge, preparing us for tasks that require focus or energy later in the day. For instance, naps have been shown to help people perform better during situations where they didn’t get enough sleep the night before, like working or studying late.

However, not all naps are created equal, and it’s important to consider the duration and timing. Studies show that shorter naps, particularly power naps lasting about 20 minutes, can provide significant cognitive benefits. Research by NASA highlighted the positive impact of power naps on astronauts, finding that even brief rests could greatly improve their alertness and performance during missions (Flynn-Evans 2016). In fact, napping for 20 minutes is considered optimal, as it allows the body to relax without entering deeper sleep cycles. This short nap improves memory recall, energy, and overall cognitive function without the grogginess associated with longer naps.

The Risks of Longer Naps

While a short power nap can be beneficial, longer naps, particularly those lasting more than 60 minutes, have been linked to some health risks. Research has shown that longer naps may increase the likelihood of developing conditions like obesity and cardiovascular disease (Algar 2019). These extended naps often bring the body into deeper sleep stages, which can lead to sleep inertia—a feeling of grogginess upon waking that can last for hours. Additionally, napping for long periods can interfere with your regular sleep cycle at night, reducing the quality of sleep during the evening hours.

For older adults, napping has been shown to preserve cognitive function, but this benefit comes with the caveat that nighttime sleep should remain a priority. A study found that adults aged 60 and older who took short naps (15-20 minutes) in the afternoon demonstrated better cognitive function than those who did not nap (Cai 2020). However, excessive daytime napping can sometimes be a sign of underlying health issues, so it’s essential to consult a healthcare provider if unexplained daytime sleepiness occurs.

Best Practices for Napping

To maximise the benefits of a nap, there are several key practices to follow:

  • Timing: Naps should be taken no later than 2:00 PM to avoid disrupting nighttime sleep.
  • Duration: Aim for 15-20 minutes. Longer naps may lead to sleep inertia, making it harder to feel alert afterward.
  • Environment: Find a quiet, cool, and comfortable space to nap. Avoid distractions, and if possible, block out light and noise with earplugs and an eye mask.
  • Consistency: Taking a nap daily for at least two weeks can lead to noticeable improvements in sleep quality at night.
  • Caffeine Trick: Some people find that drinking a small cup of coffee before napping helps prevent grogginess by counteracting sleep inertia.

Key Take-Away

  • Napping can be a powerful tool to boost energy and cognitive function, particularly in the afternoon.
  • Short, 20-minute naps are ideal for improving mood, alertness, and memory recall.
  • Longer naps (over 60 minutes) can cause sleep inertia and may have health risks, including increased likelihood of obesity and cardiovascular problems.
  • Regular, brief naps (15-20 minutes) can help preserve cognitive function, especially in older adults.
  • Naps should be taken earlier in the day to avoid disrupting nighttime sleep patterns.

Napping, when done correctly, can be a simple yet effective way to improve both physical and mental well-being, as long as the timing and duration are carefully managed.

A woman with curly hair smiles and leans back on a couch with sunlight streaming through a window and plants in the background.

10 – Time-Outs for Productivity and Well-Being

Incorporating regular breaks or “time-out sessions” into the day is something that I personally find to be crucial for maintaining focus, productivity, and overall well-being. These breaks are particularly important for individuals dealing with insomnia.

Taking regular breaks can help reduce the cycle of sleeplessness and alleviate some of the most common symptoms associated with insomnia. They offer a simple yet effective solution to reset the mind and body, and can be a key strategy for overcoming difficulties with sleep.

A time-out session doesn’t need to be lengthy or complex. It can be as simple as finding a quiet space, closing your eyes, and focusing on your breath. Taking a few deep, relaxed breaths and imagining a peaceful setting—such as a quiet beach or a calm forest—can be enough to help calm the mind and relax the body.

By regularly engaging in this form of relaxation, individuals can significantly reduce stress levels and foster a sense of inner peace. These time-outs can help clear the mind and reset emotional states, making it easier to deal with the stresses of the day while also improving sleep quality at night.

Time-Outs and Sleep Quality

Taking time-outs during the day is not just beneficial for mental clarity and stress relief, but it also plays a crucial role in improving sleep health. For individuals who struggle with insomnia or poor sleep quality, these short breaks can help break the cycle of sleeplessness. By consistently making time for these moments of pause and relaxation, individuals can experience improvements in both the quality of their sleep and their overall well-being.

Time-outs also encourage people to maintain a healthy balance between productivity and rest. By prioritizing self-care throughout the day, individuals can ensure they’re not pushing themselves too hard, which in turn helps maintain mental focus and enhances productivity. Furthermore, a consistent sleep schedule, a relaxing bedtime routine, and an optimal sleep environment are all key factors that complement the benefits of time-outs during the day.

Practical Tips for Incorporating Time-Outs into Your Day

  • Scheduled Breaks: Designate specific times for breaks throughout the day. For example, take a short break every hour or a longer break every few hours. Setting reminders or using a timer can help ensure you take these breaks regularly.
  • Mini-Breaks: Incorporate brief micro-breaks between tasks. This can include stretching, taking deep breaths, or going for a short walk around your workspace. These quick pauses can help reduce mental fatigue and increase overall productivity.
  • Change of Environment: If possible, change your physical environment during your break. Whether it’s stepping outside for fresh air, moving to a different room, or simply standing up and stretching, a change of scenery can refresh your mind and body.
  • Mindful Breathing or Meditation: Use your time-out sessions to practice mindfulness or meditation. These practices have been shown to help reduce stress, improve focus, and enhance overall well-being. You can find short, guided meditation sessions online or through mobile apps.
  • Hydrate and Snack: Use break times to stay hydrated and have a healthy snack. Dehydration can impact concentration, so drinking water throughout the day is important. Opt for snacks that provide sustained energy, such as fresh fruit, raw nuts, or yogurt.
  • Socializing: Brief conversations with colleagues, family, or friends during your break can be a great way to disconnect from work and recharge. A few minutes of socializing can lift your spirits and reduce stress.
  • Set Boundaries: When taking a break, avoid checking work-related messages or emails. It’s important to fully disconnect during these moments so you can recharge your mind and body.
  • Evaluate and Adjust: Periodically assess how well your break routine is working for you. Adjust the duration and frequency of your breaks based on what feels most effective for your productivity and well-being.

Key Take-Away

  • Regular time-out sessions are crucial for maintaining focus, productivity, and overall well-being, especially for those dealing with insomnia.
  • Taking short breaks throughout the day can help reduce stress, improve mental clarity, and enhance sleep quality at night.
  • Incorporating practices such as mindful breathing, hydration, and socialising during breaks can further improve the effectiveness of time-outs.
  • A consistent routine of time-out breaks is not a sign of laziness; rather, it is a strategy for recharging and boosting productivity and energy.
  • Listening to your body and adjusting your break routine based on your needs can lead to better sleep and an improved quality of life.

By prioritising time-outs during the day, individuals can create a healthier balance between work, rest, and sleep, ultimately improving both their daytime performance and nighttime sleep quality.

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11 – Worry Less & Be More Organised for Better Sleep

Many people struggle to quiet their minds at night, especially when it comes to work-related thoughts and personal worries. It’s not uncommon to lie in bed thinking about what was left undone during the day or feeling overwhelmed by tasks that need to be completed the next day.

This mental clutter can prevent us from getting the restful sleep our bodies and minds need. But the good news is that there are simple strategies to combat this issue and ensure our minds are calm when we lie down to sleep.

One of the most effective methods is to deal with distractions and worries before heading to bed. Instead of allowing your thoughts to race uncontrollably as you prepare for sleep, try making a to-do list for the next day. This simple act can help organise your thoughts and provide a sense of clarity.

Writing down your anxieties or worries and jotting down potential solutions can significantly ease the burden on your mind. By doing this, you acknowledge your responsibilities and commit to addressing them when the time comes, rather than letting them invade your thoughts during your rest.

Managing Stress & Resolutions

It’s also helpful to set boundaries for what kind of thoughts you allow in your mind before bedtime. I often advise my patients to follow this simple rule: “When you lie down, don’t think about any problem that requires a solution.” While this is easier said than done, it’s a practice that can be developed over time with patience and mindfulness. In fact, the practice of setting mental boundaries can drastically improve the quality of your sleep.

Another important aspect of reducing nighttime anxiety is resolving disagreements or emotional conflicts before going to bed. We all experience disagreements with our partners, loved ones, or colleagues from time to time, but carrying unresolved issues into the night can make it difficult to relax and fall asleep. When we go to bed feeling upset or emotionally charged, it often leads to lying awake, replaying the argument or disagreement in our minds. Therefore, it’s crucial to work through disagreements, or at the very least, come to a temporary resolution before hitting the pillow. Doing so can ensure you have a clearer head and a more peaceful mindset when it’s time to sleep.

Practical Tips for Worry-Free Sleep

  • Make a List:
  • Before bed, jot down tasks you need to complete the following day and any lingering worries. This can help offload thoughts from your mind and reduce anxiety.
  • Set Mental Boundaries:
  • Establish the habit of not thinking about problems that require a solution when you lie down. Practice this regularly to train your mind to rest.
  • Resolve Conflicts Before Bed:
  • If you’ve had a disagreement, try to resolve it, or at least come to a point of understanding, before you go to bed. This will prevent your mind from lingering on negative emotions during sleep.
  • Create a Calm Bedtime Routine:
  • Engage in relaxing activities such as reading, meditation, or deep breathing exercises to signal to your body that it’s time to wind down and let go of the day’s stresses.

Key Take-Away

  • Deal with work-related distractions and anxieties before bedtime by writing them down and planning for the next day.
  • Practice mental boundaries by avoiding thoughts that require solutions when preparing for sleep.
  • Resolve disagreements before bed to prevent emotional unrest from disrupting your ability to relax and sleep soundly.
  • By incorporating these strategies, you can train your mind to be calm, organised, and prepared for a restful night’s sleep.

By taking the time to clear your mind and resolve the day’s issues before sleep, you’re setting yourself up for a peaceful and restorative night. With practice, this approach can transform the way you approach bedtime and improve your overall sleep quality.

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12 – Cognitive and Behavioural Therapy for Insomnia (CBT-I)

Cognitive and behavioural therapy for insomnia (CBT-I) has proven to be an effective treatment for people who struggle with sleep, particularly those dealing with chronic insomnia. Unlike medications, which offer only short-term relief and may come with side effects, CBT-I works by addressing the underlying thought patterns, behaviours, and habits that contribute to sleep disturbances. This therapy is evidence-based and has been shown to provide long-lasting improvements in sleep quality and duration.

Through my clinical practice, I’ve received positive feedback from patients across different countries who have benefited significantly from CBT-I. This is especially true for individuals who have tried numerous other methods, including sleeping pills, dietary changes, alcohol cessation, and other conventional remedies, without finding lasting success. For many of these patients, CBT-I has been a transformative solution, helping them regain control over their sleep and overcome chronic insomnia.

CBT-I is made up of several important components that work together to help individuals improve their sleep. These include:

Cognitive Therapy (CT)

Cognitive therapy helps individuals identify and challenge the negative thought patterns and beliefs that hinder their sleep. When insomnia becomes chronic, we tend to develop maladaptive beliefs about sleep, such as worrying that we won’t get enough rest or fearing the consequences of not sleeping well. Cognitive therapy encourages a more balanced and practical view of sleep. By changing unrealistic expectations and reducing anxiety surrounding sleep, it promotes healthier, more positive thoughts about rest.

Behavioural Therapy (BT)

Behavioral therapy addresses the habits and routines that contribute to poor sleep. This can involve several strategies:

  • Sleep Restriction: This technique involves limiting the amount of time spent in bed to the actual amount of sleep you’re getting. Over time, as your sleep quality improves, the time spent in bed is gradually increased.
  • Bed is for Sleep Only: This rule helps strengthen the association between your bed and sleep by avoiding non-sleep activities, such as watching TV or using electronics, in bed.
  • Sleep Hygiene Education: This includes practical advice on how to make your bedroom more conducive to sleep, setting up a regular sleep schedule, and addressing lifestyle factors, such as work and personal habits, that may interfere with sleep.

Relaxation Therapy (RT)

Relaxation techniques are an integral part of CBT-I. These techniques help to reduce anxiety and promote relaxation before bed, preparing both the mind and body for sleep. Methods include:

  • Progressive Muscle Relaxation
  • Breathing Exercises: Slow and deep breathing to calm the body.
  • Guided Imagery: Visualization of peaceful settings to promote mental calm.
  • Other Relaxation Techniques

These methods can be particularly helpful for individuals who experience heightened anxiety or stress before bedtime, allowing them to unwind and achieve a more restful sleep.

CBT-I: A Long-Term Solution for Insomnia

CBT-I addresses the root causes of insomnia, making it a more sustainable long-term solution than pharmaceuticals. Research shows that CBT-I can improve sleep significantly, with lasting effects that can persist for months or even years (Loachimescu 2012). Unlike sleeping pills, which provide temporary relief and can have side effects, CBT-I helps individuals develop better sleep habits and routines that promote natural, restorative sleep.

Additionally, CBT-I has been found to be a better option than medications for those with chronic insomnia. It doesn’t just mask the problem but helps individuals reframe their approach to sleep and overcome the cognitive and behavioral barriers that prevent them from resting well.

Final Words about CBT-I

CBT-I is typically conducted through one-on-one therapy or in group sessions with a trained therapist. However, finding a qualified practitioner can be a challenge, as it’s a specialised therapy not always readily available (Sauer-Zavala 2016). It’s also important to note that CBT-I may require a financial investment, but many health insurance plans may cover it, especially if prescribed by a healthcare provider.

If you’re experiencing persistent insomnia or find yourself relying heavily on sleeping pills without success, I recommend speaking with a healthcare professional or sleep expert. They can help assess your condition, determine if CBT-I is appropriate for you, and guide you through the process of improving your sleep. Ultimately, improving your sleep quality is within your control, and adopting healthy sleep habits is a critical part of maintaining overall wellness.

Key Take-Away

  • CBT-I is a highly effective, evidence-based treatment for chronic insomnia, addressing the root causes of sleep problems rather than simply masking the symptoms.
  • Cognitive therapy helps challenge negative beliefs about sleep, while behavioral therapy focuses on improving sleep habits and routines.
  • Relaxation techniques are an essential part of CBT-I, helping individuals reduce anxiety and prepare for restful sleep.
  • Unlike pharmaceuticals, CBT-I provides lasting results without side effects, with improvements often lasting from 6 months to 2 years (Loachimescu 2012).
  • If you struggle with chronic insomnia, CBT-I is a valuable, non-drug option to consider. Be sure to consult a healthcare professional or sleep expert for personalised guidance and care.

Ultimately, it’s our call how we decide to eat, live and sleep, and because sound sleep is such a critical aspect of maintaining wellness, it’s a good idea to work on developing really good sleeping habits.

Thanks for reading this page. Do you have insomnia or sleeping difficulties? Have you found any solutions that work for you? Feel free to comment and leave a tip for others to benefit from!